Foliar treatment with nutrients and bioactivators was carried out in two vineyards affected with esca proper in 2004 and 2005. Changes in the foliar symptoms and in the quality of berries without lesions from treated symptomatic vines were assessed. Treated vines unexpectedly had a higher incidence and a greater severity of symptomatic leaves than untreated plants, most likely because physiological processes were stimulated by the treatments, possibly also because treatments facilitated the movement of toxins produced by the wood fungi of esca. However it cannot be excluded that the increase in foliar symptoms was due to the forced nutrition causing an imbalance between the various elements, and altering the mechanisms that vines use for the remission of foliar symptoms. This supposition seemed corroborated by the observation that treated vines diseased with esca proper had a weaker defense response than untreated diseased vines, and that treated diseased vines had lower levels of nitrogen and microelements, which are respectively involved in osmoregulation and as cofactors of enzymes involved in the defense response of the plant. The main quality parameters of berries without lesions from treated and untreated symptomatic vines were very similar.